In this complete cataract case the pupil has dilated in an asymmetric manner. There is no history of trauma and … More
Tag: complete cataract case
1764: larger capsulorhexis for larger pupil
This patient has a large anterior segment where the white-to-white diameter is almost 13 mm. He also has a large … More
1762: Focus on Efficiency: putting it all together
This week we have a Focus on Efficiency. Today, putting it all together – a complete case. Over the past … More
1758: Focus on Efficiency: how I think
This week we have a Focus on Efficiency. Today, here is how I think to improve efficiency. This is a … More
1751: for capsule wrinkling, I do this…
This is a complete cataract case, shown start to finish, where the anterior lens capsule wrinkles upon attempted puncture for … More
1706: Approach to the Gummy Nucleus
This patient has a large cortical opacity in the central visual axis which is distorting the vision tremendously. So while … More
1694: nonagenarian pseudo-exfoliation
Cataract surgery is different in nonagenarians as it seems that once the patient reaches age 90, the aging process will … More
1672: Where’s the milk?
Not all white cataracts are intumescent with pressurized capsular bags full of liquefied lens cortex. In some cases, like the … More
1646: posterior polar capsule issue
We have covered the topic of posterior polar cataracts many times before and we even have an entire section on … More
1628: more pearls for highly myopic patients
Highly myopic patients are amazed by cataract surgery because we can address even extreme degrees of myopia while giving great … More
1626: considerations for monocular patients
Of the overall cataract surgery volume, perhaps less than 1% of those patients are truly monocular and maybe less than … More
1620: pseudo-exfoliation cataract surgery
When it comes to patients with pseudo-exfoliation (PXF) and cataracts, does the pre-operative examination predict the intra-operative challenges? The title … More
1618: Why did I choose stop-and-chop?
For 22 years, I did a combination of both private practice as well as academics in which I taught the … More
1617: minus power IOLs – meniscus
This patient is so extremely myopic that the IOL power is -2.0 diopters (minus power) in order to leave the … More
1590: flip & chop and clear corneas
This is a complete cataract case, shown start to finish, of a routine cataract surgery using the flip and chop … More
1544: the first chop didn’t work, so…
Enough resident cases for now. If you’re a novice surgeon who has enjoyed learning from the resident cases, you can … More
1521: when the anterior capsule wrinkles…
Wrinkling of the anterior capsule during the performance of the capsulorhexis can be concerning because it indicates that zonular support … More
1501: complete toric IOL technique
Toric IOLs are great options to address corneal astigmatism, especially when it is 1 diopter or greater in magnitude. This … More
1454: peeling off the pupillary membrane
This patient has a long history of prior uveitis / anterior iritis which caused synechiae where the iris became adherent … More
1443: the nucleus just will not rotate
This is a seemingly routine case, shown start to finish, where I find it challenging to rotate the nucleus despite … More
1404: easy pearls for floppy iris cases
So I was at a meeting on the east coast and young surgeons were debating the use of a pupil … More
1376: soft posterior polar cataract
This younger patient has a posterior polar cataract with new PSC (posterior subcapsular) spread of opacities, thereby significantly limiting the … More
1375: cataract with silicone oil droplets
This complete cataract case features a patient who underwent a prior pars plana vitrectomy for a retinal detachment and then … More
1374: how do you remove this spot?
This is a complete cataract case where I find a small central opacity on the posterior capsule. It is on … More
1309: 90% of your cases are routine
I enjoy performing routine cataract surgery as much as challenging or unusual cases. There is a beauty and elegance in … More
1288: the subtleties of efficient surgery
Becoming efficient in the operating room is not easy and it takes years to truly hone your craft. Remember that … More
1271: please steal this phaco technique
We all learn from each other — that’s one of the best things about ophthalmology. My surgical techniques are an … More
1249: time for the second eye of #1248
Yesterday’s video (1248) showed a very challenging case of compromised zonular support in a patient who may have had prior … More
1237: leave your signature on every case
Taking pride in your work is critical for success. You need to put the effort to do a beautiful job … More
1176: cataract surgery in Fuchs’ dystrophy
You will certainly encounter patients with Fuchs’ dystrophy where the corneal endothelial cell layer becomes compromised. With loss of endothelial … More
1165: routine pseudo-exfoliation case
From our Complete Cataract Case series, this is a video of a patient with pseudo-exfoliation syndrome which can make the … More
1047: Complete Cataract Case & Quiz
You start to perform the capsulorhexis and then you notice these wrinkles of the anterior lens capsule. How should you … More
1039: complete case: surgeon control
This is a complete cataract case, shown from start to finish, with me as the surgeon. While many of the … More
1019: from one chop to the next
This complete cataract case shows how we move from the first chop to the next in order to efficiently break … More
1018: the many uses of the chopper
The phaco chopper instrument does more than just chop the nucleus. We use it to pull nuclear pieces out of … More
1017: complete case with dense endo-nucleus
This complete cataract cases features a younger patient who developed bilateral cataracts with a dense endo-nucleus. We also implant a … More
1015: phaco flip + chop in pseudo-exfoliation
This complete cataract case features an elderly patient with a dense cataract and pseudo-exfoliation. We use the flip and chop … More
1014: Cataract after prior vitrectomy
This week we are doing complete cataract cases where we will show an entire surgery from start to finish and … More
complete cataract case: optimize steps
Most of us will have the opportunity to perform thousands of cataract surgeries (often tens of thousands) during the course … More
You don’t always need rings or iris hooks
For a case like this, there is no need for a pupil expansion ring or iris hooks. These devices can … More
Playlist: Complete Cataract Cases
There is so much to be learned by watching a complete surgery, from start to finish. These complete cataract cases … More
Complete Cataract Case: No pupil ring!
Another video in our series of complete cataract cases, where the entire surgery from start to finish is presented. There … More